Individual
MANVI TYAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1446 HARPER ST, AUGUSTA, GA 30912-0012
(706) 721-5437
Mailing address
916 BON AIR DR, AUGUSTA, GA 30907-3235
(571) 567-9817
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15232
GA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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